tag:blogger.com,1999:blog-30499448.post2132047540861517230..comments2015-07-27T08:02:52.947-07:00Comments on Surgeonsblog: You Gotta Think...Sid Schwabhttp://www.blogger.com/profile/14182853083503404098noreply@blogger.comBlogger6125tag:blogger.com,1999:blog-30499448.post-65015730754919394682007-03-26T14:01:00.000-07:002007-03-26T14:01:00.000-07:00the relative values of procedures can get a bit sc...the relative values of procedures can get a bit screwy because they were set 20-30 years ago where technology was different - arthroscopic/cystoscopic procedures were much harder and longer then.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-30499448.post-10111086810960269982006-12-05T10:16:00.000-08:002006-12-05T10:16:00.000-08:00I see the medical docs as running marathons and th...I see the medical docs as running marathons and the surgeons as olympic sprinters.<br /><br />Both are great accomplishments, both take similar skills but different talents.<br /><br />And the goal/finish line is a patient, improved, intact and as healthy as possible given their circumstances.<br /><br />And speaking of intact, I nearly split a gut over the cost breakdown... : DKimhttp://www.blogger.com/profile/14955312313903598555noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-25557946521034395452006-12-01T19:45:00.000-08:002006-12-01T19:45:00.000-08:00this cracked me up, nice one. you guys certainly ...this cracked me up, nice one. you guys certainly work harder, i'll give you that, and if i were in charge you'd make a million a year, and i'd make half a million. but don't forget that seeing 25 patients a day, each with 1-20 chronic illnesses including the lady i saw today with sarcoidosis, bladder cancer, and sjogrens' (no joke) took a lot of mental work behind the scenes as i stayed late to read up on all i should be doing for her.<br />lifelong learning, balancing of multiple pathologies, unbelievable trench work in 15 minute impossibly short office visits - that takes a toll, too.<br /><br />i have stolen one of your historical skills for myself though. i cut my own hair.<br /><br />long live the surgeons!Dr. Charleshttp://www.blogger.com/profile/17077340771895663776noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-22148573027199294472006-11-28T12:28:00.000-08:002006-11-28T12:28:00.000-08:00keagirl: I know. Making a point. Poetic license. M...keagirl: I know. Making a point. Poetic license. Maybe I should have said byootocks.<br /><br />scalpel: well, it's not as if I sought out those acute pancreatitities. Non-operative management was much desired. Best scenario: find it was a CBD stone, let it pass, elective chole. Otherwise, it could be a horrible mess. (Note to readers: we're talking about a post on scalpels <a href="www.scalpelorsword.blogspot.com">blog</a>, on which i commented. I think pancreatitis would be a good source of a post here, too....Sid Schwabhttp://www.blogger.com/profile/14182853083503404098noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-44022459078011172962006-11-28T11:50:00.000-08:002006-11-28T11:50:00.000-08:00I thought of you, Dr. Schwab, when I admitted the ...I thought of you, Dr. Schwab, when I admitted the pancreatitis patient I blogged about to my favorite general surgeon. Over the years, I had gradually been "influenced" by many of the surgeons at my facility to admit only patients with clear indications for urgent surgery to the surgery service; otherwise patients with nonspecific (or even specific) abdominal pain but inconclusive CT scans, pancreatitis/diverticulitis without perforation/abscess, "partial" bowel obstructions, etc. would have to go to Medicine with a surgery consult.<br /><br />Fortunately, I have gradually found a few surgeons like yourself who enjoy the challenge of more "cognitive" work as well (wink), and I appreciate their willingness to help me out with such patients. So I refer patients to them preferentially.<br /><br />As an ER doc, I really have little idea how skilled a particular surgeon is in comparison to their colleagues. The only way I can really differentiate between them is how thoughtful and receptive they seem to be when they respond to my consultations.scalpelhttp://www.blogger.com/profile/12163296819469420123noreply@blogger.comtag:blogger.com,1999:blog-30499448.post-17700026073667022812006-11-28T10:57:00.000-08:002006-11-28T10:57:00.000-08:00Actually, most urologists consider the TURP to be ...Actually, most urologists consider the TURP to be an operation that requires a lot of skill and one which is fraught with risks. There is a surprisingly high percentage of M&M associated with it.<br />But in any case, Medicare only reimburses $600 for this procedure now.keagirlhttp://www.blogger.com/profile/14660933760358026052noreply@blogger.com